DE2944595A1 - Digital gesteuerter, implantierbarer herzschrittmacher-impulsgenerator - Google Patents
Digital gesteuerter, implantierbarer herzschrittmacher-impulsgeneratorInfo
- Publication number
- DE2944595A1 DE2944595A1 DE19792944595 DE2944595A DE2944595A1 DE 2944595 A1 DE2944595 A1 DE 2944595A1 DE 19792944595 DE19792944595 DE 19792944595 DE 2944595 A DE2944595 A DE 2944595A DE 2944595 A1 DE2944595 A1 DE 2944595A1
- Authority
- DE
- Germany
- Prior art keywords
- logic
- signal
- output
- latch
- pulse
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
- 238000012360 testing method Methods 0.000 claims description 59
- 230000000747 cardiac effect Effects 0.000 claims description 43
- 230000004044 response Effects 0.000 claims description 18
- 230000004936 stimulating effect Effects 0.000 claims description 2
- 235000014676 Phragmites communis Nutrition 0.000 description 77
- 230000005540 biological transmission Effects 0.000 description 47
- 230000006870 function Effects 0.000 description 42
- 230000008859 change Effects 0.000 description 36
- 230000000694 effects Effects 0.000 description 30
- 238000005259 measurement Methods 0.000 description 28
- 230000035945 sensitivity Effects 0.000 description 26
- 230000036279 refractory period Effects 0.000 description 25
- 230000001360 synchronised effect Effects 0.000 description 23
- 238000012795 verification Methods 0.000 description 18
- 230000000638 stimulation Effects 0.000 description 11
- 238000000034 method Methods 0.000 description 9
- 238000001514 detection method Methods 0.000 description 8
- 238000012546 transfer Methods 0.000 description 8
- 239000013078 crystal Substances 0.000 description 7
- 230000007423 decrease Effects 0.000 description 7
- 238000005070 sampling Methods 0.000 description 6
- 108010076504 Protein Sorting Signals Proteins 0.000 description 5
- 230000000903 blocking effect Effects 0.000 description 5
- 230000000670 limiting effect Effects 0.000 description 5
- 230000008569 process Effects 0.000 description 5
- 238000003860 storage Methods 0.000 description 5
- 239000003990 capacitor Substances 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 230000006872 improvement Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- 230000002829 reductive effect Effects 0.000 description 3
- 230000001960 triggered effect Effects 0.000 description 3
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 230000002401 inhibitory effect Effects 0.000 description 2
- 230000002452 interceptive effect Effects 0.000 description 2
- 230000007794 irritation Effects 0.000 description 2
- HSZCZNFXUDYRKD-UHFFFAOYSA-M lithium iodide Chemical compound [Li+].[I-] HSZCZNFXUDYRKD-UHFFFAOYSA-M 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 238000000718 qrs complex Methods 0.000 description 2
- 230000008672 reprogramming Effects 0.000 description 2
- 230000000630 rising effect Effects 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- 238000003079 width control Methods 0.000 description 2
- 101100182881 Caenorhabditis elegans madd-3 gene Proteins 0.000 description 1
- 235000010678 Paulownia tomentosa Nutrition 0.000 description 1
- 240000002834 Paulownia tomentosa Species 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 238000003491 array Methods 0.000 description 1
- 230000001746 atrial effect Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000005284 excitation Effects 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 230000009474 immediate action Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000012432 intermediate storage Methods 0.000 description 1
- 230000009191 jumping Effects 0.000 description 1
- 229910044991 metal oxide Inorganic materials 0.000 description 1
- 150000004706 metal oxides Chemical class 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000003534 oscillatory effect Effects 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 239000010453 quartz Substances 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 239000004065 semiconductor Substances 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N silicon dioxide Inorganic materials O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 239000007858 starting material Substances 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/37—Monitoring; Protecting
- A61N1/3706—Pacemaker parameters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37252—Details of algorithms or data aspects of communication system, e.g. handshaking, transmitting specific data or segmenting data
- A61N1/37254—Pacemaker or defibrillator security, e.g. to prevent or inhibit programming alterations by hackers or unauthorised individuals
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Biophysics (AREA)
- Radiology & Medical Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Cardiology (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US05/958,090 US4273132A (en) | 1978-11-06 | 1978-11-06 | Digital cardiac pacemaker with threshold margin check |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| DE2944595A1 true DE2944595A1 (de) | 1980-05-22 |
Family
ID=25500586
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE19792944595 Ceased DE2944595A1 (de) | 1978-11-06 | 1979-11-05 | Digital gesteuerter, implantierbarer herzschrittmacher-impulsgenerator |
Country Status (7)
Families Citing this family (29)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4729376A (en) * | 1985-05-28 | 1988-03-08 | Cordis Corporation | Cardiac pacer and method providing means for periodically determining capture threshold and adjusting pulse output level accordingly |
| GB2214813A (en) * | 1988-01-14 | 1989-09-13 | Stuart Charles Webb | Rate-responsive pacemaker |
| EP0331309B1 (en) * | 1988-02-17 | 1996-11-13 | Stuart Charles Webb | Rate-responsive pacemaker |
| US5105809A (en) * | 1990-08-23 | 1992-04-21 | Cardiac Pacemakers, Inc. | System and method for evaluating lead defibrillation requirements of an implanted device without repeated fibrillation induction |
| JPH0564892U (ja) * | 1992-02-03 | 1993-08-27 | 株式会社河合楽器製作所 | 電子楽器の電源制御装置 |
| US5391188A (en) * | 1992-05-01 | 1995-02-21 | Medtronic, Inc. | Low cost implantable medical device |
| US5292342A (en) * | 1992-05-01 | 1994-03-08 | Medtronic, Inc. | Low cost implantable medical device |
| US5345362A (en) * | 1993-04-29 | 1994-09-06 | Medtronic, Inc. | Portable computer apparatus with articulating display panel |
| US5324315A (en) * | 1993-08-12 | 1994-06-28 | Medtronic, Inc. | Closed-loop downlink telemetry and method for implantable medical device |
| DE4329898A1 (de) * | 1993-09-04 | 1995-04-06 | Marcus Dr Besson | Kabelloses medizinisches Diagnose- und Überwachungsgerät |
| AU673109B2 (en) | 1993-12-09 | 1996-10-24 | Medtronic, Inc. | Cardiac pacemaker with triggered magnet modes |
| US6249703B1 (en) | 1994-07-08 | 2001-06-19 | Medtronic, Inc. | Handheld patient programmer for implantable human tissue stimulator |
| US6083248A (en) | 1995-06-23 | 2000-07-04 | Medtronic, Inc. | World wide patient location and data telemetry system for implantable medical devices |
| US5683432A (en) * | 1996-01-11 | 1997-11-04 | Medtronic, Inc. | Adaptive, performance-optimizing communication system for communicating with an implanted medical device |
| US6082367A (en) | 1998-04-29 | 2000-07-04 | Medtronic, Inc. | Audible sound communication from an implantable medical device |
| US6070102A (en) * | 1998-04-29 | 2000-05-30 | Medtronic, Inc. | Audible sound confirmation of programming an implantable medical device |
| US6450172B1 (en) | 1998-04-29 | 2002-09-17 | Medtronic, Inc. | Broadcast audible sound communication from an implantable medical device |
| US5891180A (en) * | 1998-04-29 | 1999-04-06 | Medtronic Inc. | Interrogation of an implantable medical device using audible sound communication |
| US6370433B1 (en) | 1998-04-29 | 2002-04-09 | Medtronic, Inc. | Interrogation of an implantable medical device using broadcast audible sound communication |
| US6216038B1 (en) | 1998-04-29 | 2001-04-10 | Medtronic, Inc. | Broadcast audible sound communication of programming change in an implantable medical device |
| US6061594A (en) * | 1998-07-29 | 2000-05-09 | Cardiac Pacemakers, Inc. | Algorithm for automatically checking the pacing safety margin in cardiac pacing systems |
| US6644321B1 (en) * | 1999-10-29 | 2003-11-11 | Medtronic, Inc. | Tactile feedback for indicating validity of communication link with an implantable medical device |
| US6411851B1 (en) | 1999-11-04 | 2002-06-25 | Medtronic, Inc. | Implantable medical device programming apparatus having an auxiliary component storage compartment |
| US6473649B1 (en) | 1999-12-22 | 2002-10-29 | Cardiac Pacemakers, Inc. | Rate management during automatic capture verification |
| US6535766B1 (en) | 2000-08-26 | 2003-03-18 | Medtronic, Inc. | Implanted medical device telemetry using integrated microelectromechanical filtering |
| US6868288B2 (en) * | 2000-08-26 | 2005-03-15 | Medtronic, Inc. | Implanted medical device telemetry using integrated thin film bulk acoustic resonator filtering |
| US6904316B2 (en) * | 2001-11-06 | 2005-06-07 | Cardiac Pacemakers, Inc. | Cardiac rhythm management system with maximum tracking rate (MTR) hysteresis |
| US8000790B2 (en) * | 2003-10-27 | 2011-08-16 | St. Jude Medical Ab | Device for adjusting the sensitivity level of an implantable medical device |
| EP3893987A1 (en) | 2018-12-12 | 2021-10-20 | Battelle Memorial Institute | Electrical stimulation devices and systems for safely operating such devices |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3517663A (en) * | 1968-04-15 | 1970-06-30 | Gen Electric | Threshold analyzer for an implanted heart stimulator |
| US3618615A (en) * | 1969-09-02 | 1971-11-09 | Medtronic Inc | Self checking cardiac pacemaker |
| US3833005A (en) * | 1971-07-26 | 1974-09-03 | Medtronic Inc | Compared count digitally controlled pacemaker |
| DE2417800A1 (de) * | 1973-04-16 | 1975-02-27 | David Lee Bowers | Schwellwert-abtastanlage fuer die stimulation eines physiologischen systems |
Family Cites Families (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DK124860B (da) * | 1969-07-11 | 1972-12-04 | Rcvsing C As | Pacemaker. |
| US3635224A (en) * | 1970-02-10 | 1972-01-18 | American Optical Corp | Safe rate pacer |
| US3774619A (en) * | 1972-01-10 | 1973-11-27 | American Optical Corp | Source testing cardiac pacer with source-independent rate circuitry and disabling means therefor |
| US3837348A (en) * | 1972-01-10 | 1974-09-24 | American Optical Corp | Externally-controlled implantable cardiac-pacer capture margin testing apparatus and method |
| DE2217400A1 (de) * | 1972-04-11 | 1973-10-25 | Siemens Ag | Herzschrittmacher |
| JPS52111296A (en) * | 1976-03-10 | 1977-09-17 | Mirousuki Meechiisuraafu | Instruction auricle cardioscope |
| US4095603A (en) * | 1976-12-17 | 1978-06-20 | Cordis Corporation | Cardiac pacer employing discrete frequency changes |
| US4124031A (en) * | 1977-06-09 | 1978-11-07 | Vitatron Medical B.V. | Programmable pacer |
| US4132233A (en) * | 1977-06-13 | 1979-01-02 | Medtronic, Inc. | Digital cardiac pacer |
| FR2394288A1 (fr) * | 1977-06-17 | 1979-01-12 | Medcor Inc | Stimulateur implantable possedant des caracteristiques variables selectivement |
| DE2828127A1 (de) * | 1978-02-24 | 1979-08-30 | Cardiac Pacemakers | Herzschrittmacher |
| IT1118131B (it) * | 1978-07-20 | 1986-02-24 | Medtronic Inc | Perfezionamento nei pacemaker cardiaci multi-modo adattabili impiantabili |
-
1978
- 1978-11-06 US US05/958,090 patent/US4273132A/en not_active Expired - Lifetime
-
1979
- 1979-11-01 AU AU52391/79A patent/AU527187B2/en not_active Expired
- 1979-11-05 DE DE19792944595 patent/DE2944595A1/de not_active Ceased
- 1979-11-05 EP EP79302453A patent/EP0011937B1/en not_active Expired
- 1979-11-05 CA CA000339165A patent/CA1149468A/en not_active Expired
- 1979-11-06 JP JP14289079A patent/JPS5566373A/ja active Granted
- 1979-11-06 FR FR7927320A patent/FR2440750B1/fr not_active Expired
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3517663A (en) * | 1968-04-15 | 1970-06-30 | Gen Electric | Threshold analyzer for an implanted heart stimulator |
| US3618615A (en) * | 1969-09-02 | 1971-11-09 | Medtronic Inc | Self checking cardiac pacemaker |
| US3833005A (en) * | 1971-07-26 | 1974-09-03 | Medtronic Inc | Compared count digitally controlled pacemaker |
| DE2417800A1 (de) * | 1973-04-16 | 1975-02-27 | David Lee Bowers | Schwellwert-abtastanlage fuer die stimulation eines physiologischen systems |
Also Published As
| Publication number | Publication date |
|---|---|
| EP0011937A3 (en) | 1981-01-07 |
| AU527187B2 (en) | 1983-02-17 |
| AU5239179A (en) | 1980-05-15 |
| JPS5566373A (en) | 1980-05-19 |
| FR2440750A1 (fr) | 1980-06-06 |
| CA1149468A (en) | 1983-07-05 |
| JPH0160266B2 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) | 1989-12-21 |
| US4273132A (en) | 1981-06-16 |
| FR2440750B1 (fr) | 1987-08-07 |
| EP0011937A2 (en) | 1980-06-11 |
| EP0011937B1 (en) | 1985-01-30 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 8110 | Request for examination paragraph 44 | ||
| 8131 | Rejection |